Evidence map›Paper›PMID 34061776›Full record

ArticleThe Journal of clinical investigation2021

Mild COVID-19 despite autoantibodies against type I IFNs in autoimmune polyendocrine syndrome type 1.

Christian Meisel, Bengisu Akbil, Tim Meyer, Erwin Lankes, Victor M Corman, Olga Staudacher, Nadine Unterwalder, Uwe Kölsch, Christian Drosten, Marcus A Mall and 4 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 2 pooled it
12.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Autoantibodies against type I interferons in COVID-19 infection: A systematic review and meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
    Pooled it
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  9. Type I IFN autoantibodies underlie chikungunya live-attenuated vaccine encephalitis.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  18. Aire Mutations and Autoimmune Diseases.Advances in experimental medicine and biology · 2025
    Review
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Christian MeiselDepartment of Immunology, Labor Berlin GmbH, Berlin, Germany.
Bengisu AkbilInstitute of Virology, and German Centre for Infection Research (DZIF), associated partner, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Tim MeyerDepartment of Immunology, Labor Berlin GmbH, Berlin, Germany.
Erwin LankesBerlin Institute of Health, Center for Chronically Sick Children, Pediatric Endocrinology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
Victor M CormanInstitute of Virology, and German Centre for Infection Research (DZIF), associated partner, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Olga StaudacherDepartment of Immunology, Labor Berlin GmbH, Berlin, Germany.
Nadine UnterwalderDepartment of Immunology, Labor Berlin GmbH, Berlin, Germany.
Uwe KölschDepartment of Immunology, Labor Berlin GmbH, Berlin, Germany.
Christian DrostenInstitute of Virology, and German Centre for Infection Research (DZIF), associated partner, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Marcus A MallBerlin Institute of Health at Charité - Universitätsmedizin Berlin, Germany.
Tilmann KallinichBerlin Institute of Health at Charité - Universitätsmedizin Berlin, Germany.
Dirk SchnabelBerlin Institute of Health, Center for Chronically Sick Children, Pediatric Endocrinology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
Christine GoffinetInstitute of Virology, and German Centre for Infection Research (DZIF), associated partner, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Horst von BernuthDepartment of Immunology, Labor Berlin GmbH, Berlin, Germany.
Humboldt-Universität zu Berlin · DELeibniz Association · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoantibodies against IFN-α and IFN-ω (type I IFNs) were recently reported as causative for severe COVID-19 in the general population. Autoantibodies against IFN-α and IFN-ω are present in almost all patients with autoimmune polyendocrine syndrome type 1 (APS-1) caused by biallelic deleterious or heterozygous dominant mutations in AIRE. We therefore hypothesized that autoantibodies against type I IFNs also predispose patients with APS-1 to severe COVID-19. We prospectively studied 6 patients with APS-1 between April 1, 2020 and April 1, 2021. Biobanked pre-COVID-19 sera of APS-1 subjects were tested for neutralizing autoantibodies against IFN-α and IFN-ω. The ability of the patients' sera to block recombinant human IFN-α and IFN-ω was assessed by assays quantifying phosphorylation of signal transducer and activator of transcription 1 (STAT1) as well as infection-based IFN-neutralization assays. We describe 4 patients with APS-1 and preexisting high titers of neutralizing autoantibodies against IFN-α and IFN-ω who contracted SARS-CoV-2, yet developed only mild symptoms of COVID-19. None of the patients developed dyspnea, oxygen requirement, or high temperature. All infected patients with APS-1 were females and younger than 26 years of age. Clinical penetrance of neutralizing autoantibodies against type I IFNs for severe COVID-19 is not complete.

Indexed as

SARS-CoV-2AdolescentAdultAIRE ProteinAntibodies, NeutralizingAutoantibodiesCOVID-19FemaleHumansInterferon-alphaInterferon Type IIn Vitro TechniquesMalePolyendocrinopathies, AutoimmuneSeverity of Illness IndexTranscription FactorsAIRE ProteinAntibodies, NeutralizingAutoantibodiesInterferon-alphainterferon omega 1Interferon Type ITranscription FactorsCOVID-19ImmunologyInnate immunity

Identifiers

PMID34061776
PMCPMC8279584
OpenAlexW3164979194

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.